Release

• Release Brandon University from any and all liability for any loss, damage or expense that I may suffer as a result of my use of the bicycle compound.
• Hold harmless and indemnify Brandon University from any and all liability for any damage to the property of any third party resulting from my use of the bicycle compound.

Bike Compound Application for:

• Name: {Name (First):1.3} {Name (Last):1.6}
• Phone: {Phone:2}
• Email: {Email:3}
• Type: {Are you::9}
• Student Number: {Student Number::11}
• Department: {Department::7}
• Access FOB #: {5 Digit Access Fob Number::15}
• Type of Bike: {Type of Bicycle::5}
• Color of Bike: {Color::6}
• Do you agree to the Release and Limited Liability terms: {Do you agree to the terms of the Release and Limited Liabilty?:18}

Release

• Release Brandon University from any and all liability for any loss, damage or expense that I may suffer as a result of my use of the bicycle compound.
• Hold harmless and indemnify Brandon University from any and all liability for any damage to the property of any third party resulting from my use of the bicycle compound.